RUSTY GENE BAKER - Physician Assistant License in Illinois | # 085007222

RUSTY GENE BAKER

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007222

License Status

ACTIVE

Business

N

First Name

RUSTY

Middle

GENE

Last Name

BAKER

Business Name

RUSTY GENE BAKER

Original Issue Date

08/21/2019

Effective Date

01/08/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2026